| NPI | 1194669218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER DICKEY Mgr. Payer Relations 806-928-2447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 208000000X Pediatrics |
| 207QA0000X Family Medicine, Adolescent Medicine | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 207Q00000X Family Medicine | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207R00000X Internal Medicine | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2026-04-17 |
| Last Update Date | 2026-04-27 |